inhalers for COPD

Question 1

group A

Answer 1

bronchodilator
0-1 moderate exacerbations (not leading to hospital admission
mMRC 0-1, CAT<10

Question 2

Short acting bronchodilators

Answer 2

SABA and SAMA

Question 3

albuterol

Answer 3

Proventil, porair, Ventolin
SABA
MDIs
rescue relief

Question 4

albuterol

Answer 4

accuneb
SABA
neb
rescue relief

Question 5

levalbuterol

Answer 5

xopenex
SABA
MDI and neb
decreases risk of tachycardia

Question 6

ipratropium

Answer 6

atrovent
SAMA
MDI and neb

Question 7

albertrol/ipratropium

Answer 7

Combivent Respimat

Question 8

albuterol/ipratropium

Answer 8

duonebs
neb

Question 9

long acting bronchodilators

Answer 9

LABA and LAMA

Question 10

salmeterol

Answer 10

servant diskus
LABA
slowest onset

Question 11

formoterol

Answer 11

perforomist
LABA
neb

Question 12

arformterol

Answer 12

brovana
LABA
neb

Question 13

olodaterol

Answer 13

striverdi Respimat
LABA

Question 14

tiotropium

Answer 14

Spiriva Respimat
LAMA
longest onset

Question 15

umeclidinium

Answer 15

incruse ellipta
LAMA

Question 16

aclidinium

Answer 16

tudorza pressair
LAMA

Question 17

glycopyrrolate

Answer 17

lonhala magnair
LAMA
neb

Question 18

glycopyrrolate

Answer 18

seebri neohaler

Question 19

revefenacin

Answer 19

yupelri
neb

Question 20

group B

Answer 20

LABA and LAMA
0-1 moderate exacerbations (not leading to hospital admission)
mMRC>2, CAT>10

Question 21

umeclidinium/vilanterol

Answer 21

anoro ellipta
LABA/LAMA
slowest onset

Question 22

glycopyrrolate/formoterol

Answer 22

bevespi aeresphere
LABA/LAMA

Question 23

aclidinium/formoterol

Answer 23

duaklir pressair
LABA/LAMA

Question 24

tiotropium/olodaterol

Answer 24

stiolto Respimat

Question 25

group E

Answer 25

LABA and LAMA consider inhaled corticosteroid if eosinophils >300 >2 moderate exacerbations or >1 leading to hospitalization

Question 26

beclomethasone

Answer 26

qvar redihaler ICS

Question 27

budesonide

Answer 27

pulmicort ICS DPI and neb

Question 28

fluticasone

Answer 28

flovent ICS

Question 29

fluticasone

Answer 29

arnuity ellipta ICS

Question 30

mometasone

Answer 30

asmanex twisthaler ICS

Question 31

mometasone

Answer 31

asmanex ICS MDI

Question 32

budesonide/formoterol

Answer 32

Symbicort ICS/LABA

Question 33

fluticasone/vilanterol

Answer 33

breo ellipta ICS/LABA

Question 34

fluticasone/salmeterol

Answer 34

Advair ICS/LABA

Question 35

mometasone/formoterol

Answer 35

bulera ICS/LABA

Question 36

budesonide/glycopyrrolate/formoterol

Answer 36

breztri aerosphere ICS/LAMA/LABA

Question 37

fluticasone/umeclidinium/vilanterol

Answer 37

trelegy ellipta ICS/LAMA/LABA

Question 38

for exacerbations can add these if

Question 39

roflumilast

Answer 39

daliresp exacerbations present and inhalers are maxed FEV1<50% and has chronic bronchitis DO NOT USE WITH THEOPHYLLINE

Question 40

dupilumab

Answer 40

dupixent adherent to triple therapy chronic bronchitis and history of 2 moderate exacerbations or 1 severe in the past year eosinophil >300

Question 41

azithromycin

Answer 41

Zithromax when exacerbations present and inhalers are maxed smoking cessation is complete

Question 42

ensifentrine

Answer 42

ohtuvayre improves dyspnea and lung function but not exacerbations